Crisis Development
Directive Nursing Response
- take control of the situation
- set limits
Kari Rengo, MSN, RN
Acting-Out Begins!
- a total loss of control
- physical violence
Obstacle 3
Obstacle 2
Theraputic Nursing Rapport
Nonviolent Physical Crisis InterventionNursing Response
- reestablish therapeutic communication
- debrief with the patient
- safe, non-harmful seclusion and restraint techniques
- goal is to control the individual until he/she can regain his/her own behavioral control
- provides for safety of the patient and others on the unit
- last resort in any situation
Getting Defensive!
- losing rationality
- becoming belligerent
- challenging authority
Ahh, Tension Reduction!
- decreased physical energy
- decreased emotional energy
- rationality returns
Hello Anxiety!
- noticable change
- increase in behavior
Start
Supportive Nursing Response
- empathic
- non-judgmental approach
- attempt to alleviate anxiety
Obstacle 1